Healthcare Provider Details

I. General information

NPI: 1952128993
Provider Name (Legal Business Name): UNIQUELY BEAUTIFUL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12017 BAMMEL NORTH HOUSTON RD
HOUSTON TX
77066-4703
US

IV. Provider business mailing address

13611 PERRY RD
HOUSTON TX
77070-4298
US

V. Phone/Fax

Practice location:
  • Phone: 832-303-8516
  • Fax:
Mailing address:
  • Phone: 832-303-8516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: AHSHAKIA BELL
Title or Position: CO-OWNER
Credential:
Phone: 832-303-8516